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Summer Camp 2008 Registration Desert Thunder Gymnastics Student’s Name _________________________________________________________________________ Address _________________________________________________________________________________ City _______________________ State________ Zip ______________Phone________________________ Age _________Skill Level ________________ T-Shirt Size YXS YS YM YL YXL AS AM AL Camps enrolling in: (circle one) Morning Camp $85.00 Evening Camp $85.00 or Both Camps $155.00 Payment Amount__________________________ Medical Release/ Approval Name of Camper_________________________________________________________________________ Past Health______________________________________________________________________________ Past Injuries_____________________________________________________________________________ Present Health___________________________________________________________________________ Allergies_________________________________________________________________________________ Insurance Company______________________________________________________________________ Insurance Address_______________________________________________________________________ I hereby register my child for the 2008 Desert Thunder Gym Summer Camp and authorize the staff to direct his/her participation of camp activities. I know of no mental or physical problems which may affect her ability to safely participate in the camp. I authorize the camp staff to obtain medical care for any health problem or injury to my child that may occur while attending camp. I hereby release Desert Thunder Gymnastics, its owners, officers, directors, and other affiliates from any liability that may arise from my child's participation in the camp. I acknowledge I am responsible for any and all medical expenses due to my child's illness or any injuries. Parent or Guardian Name___________________________________________________________________ Parent or Guardian Signature__________________________________ Date __________________________ Phone (home) _______________________________ Phone (work) __________________________________ Street Address ____________________________City__________________ State_______ Zip____________ |